Total vertical sediment flux and PM10 emissions from disturbed Chihuahuan Desert surfaces

Desert surfaces are typically stable and represent some of the longest-lived landforms on Earth. For surfaces devoid of vegetation, the evolution of a desert pavement of gravel and small stones protects the surface from erosion by wind and water and vegetation further protects the surface in arid and semi-arid rangelands. The susceptibility of the land surface to wind erosion is enhanced by mechanical damage to the desert pavement or vegetation losses resulting from fire or grazing. Despite the relatively rich literature on the effects of grazing and fire on plant community composition, land degradation, and the productivity of arid landscapes, little is known about the effects of moderate grazing or fire on the erodibility of soils in desert grasslands and shrublands. Here we investigate the effects of simulated moderate grazing, simulated livestock trampling, and of fire on the resulting wind erodibility and dust emissions of the affected soil surfaces. We surveyed 24 plots of the same size, 6 m × 0.6 m, at a research site in the northern Chihuahuan Desert including 6 plots in a shrub-grass ecotone, 12 plots in an adjacent grassland, and 6 plots in an area that had been burned by a natural wildfire 6 months earlier but had no vegetation recovery due to the time of year and drought. To evaluate the various effects of disturbances on the susceptibility of the surface to wind erosion and dust entrainment, replicates of three plots underwent different treatments including clipping, trampling, fire, and tillage. We subsequently tested each of the treated plots with a portable field wind tunnel run at 12.6 m s−1. We found that moderate grazing and fire did not result in great soil loss in desert grasslands but that shrublands were more seriously affected by grazing and fire. Total removal of vegetation and disturbance of the soil surface did result in greater than order of magnitude increases of vertical sediment flux and greater than three-fold increases of dust emissions

Prevalence Study of H. pylori infection in Dyspeptic patients coming to Nepal Medical College Teaching Hospital, Jorpati, Kathmandu

ABSTRACT Helicobacter pylori (H. pylori) is one of the most common human infections worldwide particularly in the developing countries. It has been established as etiology of chronic gastritis and peptic ulcer disease, gastric adenocarcinoma and mucosal associated lymphoid tissue lymphoma (MALT). During this decade, there have been some reports showing a decline in global prevalence of H. pylori infection and peptic diseases including many Asian countries. Hence to determine prevalence of Helicobacter pylori infection in dyspeptic patients, this descriptive, non-interventional study was carried out at the Endoscopy sub-unit of the Surgery Department from April 2011 to February 2012. Three hundred nineteen dyspeptic patients (Male 161 and female 152) with a mean age of 20.12 years were examined for the presence of H. pylori infection by histology staining. The prevalence of H. pylori infection was 50.47%. The most common endoscopic fi ndings was gastritis (47.6%) followed by normal fi ndings 57 (17.87%). A total of 8.47% of gastric Ulcer, oesophagitis 5.64% and gastric cancer 0.94% were detected. All three cases of gastric cancer were positive for H. pylori infection. Among gastritis, H. pylori was observed in 67 (44%) cases and 18 out of 57 (5.6 %) of normal gastric mucosa showed H. pylori. The endoscopic fi ndings such as gastritis, gastric ulcer, duodenal ulcer and gastro duodenal refl ux are signifi cantly associated with H pyloric infection. The prevalence of H. pylori infection is still high in peptic diseases. H pylori infection is signifi cantly correlated with peptic ulcer diseases than with non-ulcer dyspepsia. Further studies are required to establish the H. pylori positive cases with that of other tests such as serological detection of anti H. pylori antibody by ELISA/ICT and culture to establish a diagnosis quickly without any invasive method and institute proper management thus reducing morbidity

Brokering justice: global indigenous rights and struggles over hydropower in Nepal

This article explores the dynamics of brokerage at the intersection between the justice conceptions enshrined in global norms and the notions of justice asserted in specific socio-environmental struggles. Using the case of a small hydropower project in Nepal, we trace the attempts of an indigenous activist to enrol villagers in his campaign against the background of villagers’ everyday negotiations with the hydropower company. The study shows how global norms, such as indigenous peoples’ rights, may fail to gain traction on the ground or even become sources of injustice in particular contexts

What motivates open defecation? A qualitative study from a rural setting in Nepal

Introduction Open defecation is ongoing in Nepal despite the rise in efforts for increasing latrine coverage and its use. Understanding the reasons for open defecation would complement the ongoing efforts to achieve the ‘open defecation free’ status in Nepal. This study aimed at exploring different motivations of people who practice open defecation in a village in Nepal. Methods This study was conducted among the people from the Hattimudha village in Morang district of eastern Nepal, who practiced open defecation. Maximum variation sampling method was used to recruit participants for 20 in-depth interviews and 2 focus group discussions. We adopted a content analysis approach to analyze the data. Results We categorized different reasons for open defecation as motivation by choice and motivation by compulsion. Open defecation by choice as is expressed as a medium for socializing, a habit and an enjoyable outdoor activity that complies with spiritual and religious norms. Open defecation by compulsion include reasons such as not having a latrine at home or having an alternative use for the latrine structures. Despite having a private latrine at home or access to a public latrine, people were compelled to practice open defecation due to constraints of norms restricting latrine use and hygiene issues in general. For women the issues with privacy and issues refraining women to use the same latrine as men compelled women to look for open defecation places. Conclusion Open defecation is either a voluntary choice or a compulsion. This choice is closely linked with personal preferences, cultural and traditional norms with special concerns for privacy for women and girls in different communities. The ongoing campaigns to promote latrine construction and its use needs to carefully consider these factors in order to reduce the open defecation practices and increase the use of sanitary latrines

Menstrual hygiene management among women and adolescent girls in the aftermath of the earthquake in Nepal.

BACKGROUND: Menstrual hygiene management (MHM) is an essential aspect of hygiene for women and adolescent girls between menarche and menopause. Despite being an important issue concerning women and girls in the menstruating age group MHM is often overlooked in post-disaster responses. Further, there is limited evidence of menstrual hygiene management in humanitarian settings. This study aims to describe the experiences and perceptions of women and adolescent girls on menstrual hygiene management in post-earthquake Nepal. METHODS: A mixed methods study was carried out among the earthquake affected women and adolescent girls in three villages of Sindhupalchowk district of Nepal. Data was collected using a semi-structured questionnaire that captured experiences and perceptions of respondents on menstrual hygiene management in the aftermath of the Nepal earthquake. Quantitative data were triangulated with in-depth interview regarding respondent's personal experiences of menstrual hygiene management. RESULTS: Menstrual hygiene was rated as the sixth highest overall need and perceived as an immediate need by 18.8% of the respondents. There were 42.8% women & girls who menstruated within first week of the earthquake. Reusable sanitary cloth were used by about 66.7% of the respondents before the earthquake and remained a popular method (76.1%) post-earthquake. None of the respondents reported receiving menstrual adsorbents as relief materials in the first month following the earthquake. Disposable pads (77.8%) were preferred by respondents as they were perceived to be clean and convenient to use. Most respondents (73.5%) felt that reusable sanitary pads were a sustainable choice. Women who were in the age group of 15-34 years (OR = 3.14; CI = (1.07-9.20), did not go to school (OR = 9.68; CI = 2.16-43.33), married (OR = 2.99; CI = 1.22-7.31) and previously used reusable sanitary cloth (OR = 5.82; CI = 2.33-14.55) were more likely to use the reusable sanitary cloth. CONCLUSIONS: In the immediate aftermath of the earthquake, women and girls completely depended on the use of locally available resources as adsorbents during menstruation. Immediate relief activities by humanitarian agencies, lacked MHM activities. Understanding the previous practice and using local resources, the reusable sanitary cloth is a way to address the menstrual hygiene needs in the post-disaster situations in Nepal

The Spatial Heterogeneity between Japanese Encephalitis Incidence Distribution and Environmental Variables in Nepal

To identify potential environmental drivers of Japanese Encephalitis virus (JE) transmission in Nepal, we conducted an ecological study to determine the spatial association between 2005 Nepal JE incidence, and climate, agricultural, and land-cover variables at district level.District-level data on JE cases were examined using Local Indicators of Spatial Association (LISA) analysis to identify spatial clusters from 2004 to 2008 and 2005 data was used to fit a spatial lag regression model with climate, agriculture and land-cover variables.Prior to 2006, there was a single large cluster of JE cases located in the Far-West and Mid-West terai regions of Nepal. After 2005, the distribution of JE cases in Nepal shifted with clusters found in the central hill areas. JE incidence during the 2005 epidemic had a stronger association with May mean monthly temperature and April mean monthly total precipitation compared to mean annual temperature and precipitation. A parsimonious spatial lag regression model revealed, 1) a significant negative relationship between JE incidence and April precipitation, 2) a significant positive relationship between JE incidence and percentage of irrigated land 3) a non-significant negative relationship between JE incidence and percentage of grassland cover, and 4) a unimodal non-significant relationship between JE Incidence and pig-to-human ratio.JE cases clustered in the terai prior to 2006 where it seemed to shift to the Kathmandu region in subsequent years. The spatial pattern of JE cases during the 2005 epidemic in Nepal was significantly associated with low precipitation and the percentage of irrigated land. Despite the availability of an effective vaccine, it is still important to understand environmental drivers of JEV transmission since the enzootic cycle of JEV transmission is not likely to be totally interrupted. Understanding the spatial dynamics of JE risk factors may be useful in providing important information to the Nepal immunization program

Eco-social and behavioural determinants of diarrhoea in under-five children of Nepal: a framework analysis of the existing literature.

BACKGROUND: While diarrhoea is the second major killer among the under-five children in the world with an estimation of 760,000 deaths annually, it stands as a major killer in Nepal with an annual incidence of 500 per 1000 under-five children with diarrhoea. Diarrhoea is responsible for a wide range of morbidity and mortality among children in Nepal. The objective of this review work is to identify the eco-social and behavioural determinants of diarrhoea among the under-five children of Nepal. METHODS: A literature review was conducted using the Dahlgren and Whitehead model (1991) between June and October 2015. PubMed, Nepal Journals online and Google Scholar were used to search for literature published between 1989 and July 2015 using defined keywords. RESULTS: Children of age group 6-23 months are at higher risk, as supplementary diets are introduced to the children from the age of 6 months. Male children have better access to healthcare services. Malnourished children also have a higher chance of developing persistent diarrhoea. Provision of safe water and sanitation has direct link with the prevention and control of diarrhoea. Male gender with high income positively influences the treatment-seeking behaviour. Mother's education and hand-washing practice have direct influence in child health. Hand-washing practices with soap which are protective are influenced by the cultural beliefs. Involvement of community health volunteers increases the access to the health system, thereby reducing the diarrhoeal burden in the community. CONCLUSION: Age, gender, hand-washing behaviour, nutritional status of children, education of mothers, water and sanitation, healthcare services, cultural and societal values and income of the household were identified determinants for diarrhoea in under-five children of Nepal

Resilience and recovery potential of duneland vegetation in the southern Kalahari

Many dune fields around the world have undergone alternating periods of mobilization and stabilization in response to changes in wind power and rainfall. However, in modern times disturbances associated with land use are believed to be a dominant factor contributing to the activation of stabilized vegetated dunes in drylands, while the reduction in human activities such as grazing and farming may lead to stabilization of once active dune fields. The Kalahari region of southern Africa has recently begun to exhibit visible signs of dune mobilization, a process that could lead to an activation of aeolian transport in the region with important implications for the biogeochemistry of downwind terrestrial and marine ecosystems. It is still unclear whether the region is poised at a tipping point between its current state (i.e., vegetated fixed linear dunes), and a "degraded" state (i.e., barren and active dunes). Here we investigate the ability of the landscape to recover from the degraded state by assessing the resilience of duneland vegetation and evaluating the vegetation and soil characteristics. Using field observations and soil seed bank experiments, we show that palatable perennial grass cover is reduced while the seedbank is depleted on grazed dunefields. Conversely, the interdunes generally exhibit relatively rich seed banks. Soils from grazed and ungrazed sites show that plant available nutrient contents are not significantly different; therefore, soil nutrients are likely not a major factor limiting the recovery of perennial vegetation in this region. It is observed that the perennial grasses reestablish on the recovering dunes after grazers have been excluded, indicating that the landscape is still able to recover after years of denudation and that any irreversible shift to a stable degraded state is likely during extended periods of disturbance and/or climatic shifts that promote the degraded state. We also find that changes in grass cover, grass community composition, and seed bank can serve as indicators of whether the system has irreversibly shifted from a vegetated to a bare dune state. © 2014 Bhattachan et al

Resilience and recovery potential of duneland vegetation in the southern Kalahari

Many dune fields around the world have undergone alternating periods of mobilization and stabilization in response to changes in wind power and rainfall. However, in modern times disturbances associated with land use are believed to be a dominant factor contributing to the activation of stabilized vegetated dunes in drylands, while the reduction in human activities such as grazing and farming may lead to stabilization of once active dune fields. The Kalahari region of southern Africa has recently begun to exhibit visible signs of dune mobilization, a process that could lead to an activation of aeolian transport in the region with important implications for the biogeochemistry of downwind terrestrial and marine ecosystems. It is still unclear whether the region is poised at a tipping point between its current state (i.e., vegetated fixed linear dunes), and a "degraded" state (i.e., barren and active dunes). Here we investigate the ability of the landscape to recover from the degraded state by assessing the resilience of duneland vegetation and evaluating the vegetation and soil characteristics. Using field observations and soil seed bank experiments, we show that palatable perennial grass cover is reduced while the seedbank is depleted on grazed dunefields. Conversely, the interdunes generally exhibit relatively rich seed banks. Soils from grazed and ungrazed sites show that plant available nutrient contents are not significantly different; therefore, soil nutrients are likely not a major factor limiting the recovery of perennial vegetation in this region. It is observed that the perennial grasses reestablish on the recovering dunes after grazers have been excluded, indicating that the landscape is still able to recover after years of denudation and that any irreversible shift to a stable degraded state is likely during extended periods of disturbance and/or climatic shifts that promote the degraded state. We also find that changes in grass cover, grass community composition, and seed bank can serve as indicators of whether the system has irreversibly shifted from a vegetated to a bare dune state. © 2014 Bhattachan et al

Outcome analysis of breast cancer patients treated at Nepal Medical College

ABSTRACTS Breast carcinoma is second most common malignancy among women in Nepal and is also still a killer carcinoma in our context. We are encountering with more cases of breast cancer, may be due to increase number of cases because of life style modifi cation or due to more diagnostic facilities available in the country. Yet we most often encounter more advanced stage of breast carcinoma. In our study we had total of 21 patients who suffered from breast carcinoma. Among those patients most were elderly with mean age of 54.33±11.25 years. Among 21 patients, 13 patients were either of locally advanced type or with advanced breast carcinoma with metastasis. In our institution these patients were offered evidence based treatment as per their requirement. Since most of these patients are unaware of self breast examination and hence presented lately. Even though they were managed properly, 1 patient had local recurrence and 4patients later presented with distant metastasis